对处置性正念和创伤后应激障碍症状学的系统审查:针对性检查避免
Allison M Sylvia1, Kristen Jastrowski Mano1, Erica L Birkley2,3
1Department of Psychology, University of Cincinnati, Cincinnati, OH, USA.
Trauma, violence & abuse
|March 25, 2024
概括
正念可能不会直接减少PTSD回避症状. 临床医生应该评估患者如何使用正念技能,因为高度避免可以与强烈的正念并存.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 正念研究研究 正念研究
背景情况:
- 对创伤后应激障碍 (PTSD) 治疗的高非响应率需要改进干预措施.
- 处置性正念,即倾向于非判断性的当下时刻意识,在减少PTSD症状方面显示出有前途.
- 现有研究表明,正念干预的目标是避免,但处置性正念和避免之间的直接联系需要系统地检查.
研究的目的:
- 系统地检查在受创伤暴露的成年人中处置性正念和避免症状之间的定量关联.
- 澄清正念与特定的PTSD症状集群之间的关系,包括避免,过度兴奋和负面变化.
主要方法:
- 进行了对同行评审研究的系统审查,报告了避免和处置性正念之间的定量关联.
- 搜索了PsycINFO和PubMed数据库,遵守了2009年系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括16项研究,这些研究量化评估了受创伤影响的成年人的回避和处置性正念.
主要成果:
- 在倾向性正念和努力避免之间发现了一个微弱的关联.
- 这种微弱的关系可能被低估了,当努力避免与其他症状一起测量时,如无情感.
- 正念与过度兴奋症状以及认知和情绪的负面变化有更强烈的关联.
结论:
- 即使在具有强烈的正念技能的人中,也可能存在高水平的努力避免.
- 在创伤后应激障碍中,正念可能不会直接缓解努力避免.
- 临床医生应仔细评估患者使用正念技能,以了解潜在的应对机制,包括避免.
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